Kompleks bölgesel ağrı sendromu (KBAS), travmatik bir olay sonrasında özellikle üst ekstremitede ortaya çıkan, kronik ve ağrılı bir durumdur. Burada, KBAS’lı bir hastada ekstrakorporeal şok dalga tedavisi (ESWT) sonrası ağrı, hareket açıklığı ve fonksiyondaki değişikliği rapor ediyoruz. Sağ distal radius kırığı nedeniyle kolu kısa kol sirküler alçıda kalan 68 yaşında kadın hasta, ağrı, hareket kısıtlılığı ve elde renk değişikliği şikayetleri nedeniyle kliniğimize başvurdu. Ağrısı görsel analog ölçek, el fonksiyonları MAYO bilek skoru ve Quick- DASH ile değerlendirildi. ESWT el bileğine haftada 2 gün 5 seans uygulandı. ESWT sonrası ağrı, ödem, elde hareket aralığı, el bileği ve el fonksiyonlarında ciddi iyileşme sağlandı. ESWT, KBAS’da yeni bir tedavi yöntemi olarak tercih edilebilir. Etkin dozu hesaplamak ve olası yan etkileri belirlemek için geniş vaka serili çalışmalara ihtiyaç vardır.

Complex regional pain syndrome (CRPS) is a chronic and painful condition that occurs especially in the upper extremity after a traumatic event. Here, we report the changes in pain, range of motion, and function after extracorporeal shock wave therapy (ESWT) in a patient with CRPS. A 68-year-old female patient, whose arm was in a short-arm circular cast due to a right distal radius fracture, was admitted to our clinic with complaints of pain, limitation of movement and discoloration of the hand. Pain was evaluated with a visual analog scale, hand functions with the MAYO wrist score and Quick-Disabilities of the Arm, Shoulder and Hand. ESWT was applied to the wrist for 5 sessions, 2 days a week. After ESWT, significant improvement was achieved in pain, edema, range of motions, and wrist and hand functions. ESWT may be preferred as a new treatment method in CRPS. Studies with large case series are needed to calculate the effective dose and determine the possible side effects.

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